MR. JASON ROBERT BRODY (NPI# 1356816839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356816839 |
| Entity Type | Individual |
| Full Name | MR. JASON ROBERT BRODY |
| Credential | PA-C |
| Practice Address |
100 Port Washington Blvd Roslyn NY 11576-1347 |
| Practice Telephone | 5165626000 |
| Mailing Telephone | 5165626000 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2019-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427052497 | Jason Scot Brody | Specialist | 800 Mount Vernon Hwy, Suite 125, Atlanta, GA 30328-4295 | 2005-06-08 |
| 1790240398 | Jason Brody | Behavioral Analyst | 5755 Oberlin Dr, San Diego, CA 92121-1786 | 2019-02-07 |
| Street Address |
100 PORT WASHINGTON BLVD |
| City | ROSLYN |
| State | NY |
| Zip Code | 11576-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768624 | Jack Soterakis | Internal Medicine | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2005-05-23 |
| 1700499779 | Olivia Paige Omage | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2020-08-28 |
| 1871101006 | Mark Granados | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-07-14 |
| 1871110692 | Nicole Amanda Waxner | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-06-27 |
| 1710509062 | Allison L Chan | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-05-09 |
| 1730715269 | Sreeja Nair | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2020-03-16 |
| 1871127027 | Laura Grace Krukowski | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576 | 2020-02-26 |
| 1518591015 | Punam Patel | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-02-24 |
| 1306486196 | Brendan Heitz | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-01-09 |
| 1740829613 | Johanna Eve Schwartz | Social Worker | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2019-12-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075998 | Haley W Feit | Optometrist | 1085 Northern Blvd, Roslyn, NY 11576 | 2019-10-25 |
| 1346765187 | Fern Wendi Schanback | Counselor | 24 Mackay Way, Roslyn, NY 11576 | 2017-08-12 |
| 1932577574 | Soma Fit Physical Therapy Pllc | Physical Therapist | 55 Lumber Rd, Suite 105, Roslyn, NY 11576 | 2015-09-14 |
| 1679953699 | Linda D.r. Miller | Speech-Language Pathologist | 7 Woodland Road, Roslyn, NY 11576 | 2015-06-04 |
| 1629463450 | Angela Maria Taveras | Social Worker | 141 Old Northern Blvd, Rosalyn, NY 11576 | 2015-03-30 |
| 1043594922 | Robin Hananel | Speech-Language Pathologist | 29 The Oaks, Roslyn, NY 11576 | 2011-10-10 |
| 1073838207 | Lucille A Barker | Occupational Therapist | 1441old Northern Blvd, Roslyn, NY 11576 | 2010-03-31 |
| 1518100163 | Robert Eugene Goldberger | Surgery | 4 The Birches, Roslyn, NY 11576 | 2009-04-13 |
| 1336388461 | Sarah Lamattina | Counselor | 1441 Old Northern Boulevard, Roslyn, NY 11576 | 2009-02-12 |
| 1508001553 | Leslie Jane Brownstein | Speech-Language Pathologist | 174 Mimosa Drive, Roslyn, N.y 11576, New York City, NY 11576 | 2008-12-04 |
| Find all providers in zip 11576 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982142212 | Shiran Hannah Aldad | Physician Assistant | 10 Sterling Plz, Roslyn, NY 11576-3050 | 2017-02-07 |
| 1649541202 | Josephine Lombardi | Physician Assistant | 100 Port Washington Blvd Ste G01, Roslyn, NY 11576-1347 | 2012-01-13 |
| 1700499779 | Olivia Paige Omage | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2020-08-28 |
| 1871101006 | Mark Granados | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-07-14 |
| 1871110692 | Nicole Amanda Waxner | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-06-27 |
| 1518591015 | Punam Patel | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-02-24 |
| 1306486196 | Brendan Heitz | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-01-09 |
| 1629611322 | Kaitlin Anne Monteith | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2019-10-25 |
| 1568003879 | Shannon Jean Leonard | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2019-10-08 |
| 1205486842 | Stephanie Leigh Schmitt | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2019-09-16 |
| Find all providers in ROSLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.